1980, 09-08 Permit 80-9779 Residence95y70/30c.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB AESS
LOT
- /8j/ 5PENcEie C./4,
BLOCK SUBDIVISION
OWNER
3. 134RR V 74. A/cj!i
ADDRESS
/7 O, Bo,- //7;37
CONTRACTOR
' ADDRESS
&9/27E
DESIGNER,
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
S3; S'874
ZIP
992//
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S Lo7 e r Sim '79 -/y4
d54l4/?
Actual Set Backs In Feet C�c
North 7s / 'South 2 / East 2 `-'o I IWest ' S
Size of Parcel
%Pn2o
/.z4c.ee.
Zone Classification
Ate. fits Bc1PQ/a l/
TYpgConst. Pancy
jY/ /X`l3
Valn 3 e
70/
Main Floor Upper Floors
/60 3z
Sprinklered
Des ❑No ❑ Req'd.
Building Area In Sq. Ft.
Z 35-8
Garage Area
Storage
Area of Decks
379
Finished Basement
/267
Unfin. Basement
3/7
TYPE
7. OF
WORK
LI NEW ❑ ALT.
BLD. ❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. Si/vOCE ///9/?-2/4.. y RG.5/ -ivcE OA' yel 6- ,4zi2zc /6o
VALUATION SOURCE II GAS ELECTRIC WATER
OF
UTILITIES
SEWER
/O%-/C
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private re
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The ing of a permit of presume
to give authority to violate or cancel the provisions of any other state o loc law regulating onstruc ion or
performance of construction. SEE REVERSE SIDE FOR REQUIRED IN PE tTT1t NS
DATE OF APPLICATION l/ 7-7 6 v SIGNATURE OF APPLIC
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. EnhToeer
Uti ies
to
Plans Examiner
SEPA Checklis
SPECIAL CONDITIONS:
Not Req'd.
FEES COLLECTED
Single
Building `' dxG
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$3s-2.,C C)
c.RMIT NUMBER
97'l9
02* *352,00
* 35200
* 352.006
A *0,00 8.
977.82
09'08-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B ding Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0194401'y8i:0i
DATE ISSUED
PERMIT NO.
977,9 *35'2,0,0a�
TOTAL
4
3e "N
nIV